NEWS

From the Hip Unit we want to thank Professor Kjeld Söballe (Aarhus -Denmark), brilliant hip and pelvic surgeon, former chairman of the scientific committee of the European Hip Society (EHS); he in 2006 (2 years before I published it in the American Journal JBJS Am 2008) taught me the mini-invasive technique. Our fortune is to have known him, his generosity, didactic commitment. We can never thank him as he deserves.

First of all thank you friend Kjeld.

He was the one who realized that Ganz periacetabular osteotomy could be done by a mini-invasive approach that does not compromise the muscles, produces less bleeding, much less postoperative pain, and a faster return to everyday activities, including sport.

Today there is an undetermined number of athletes with moderate dysplasia, with a ratio of 4 to 5 women to 1 man, although there are ethnic and genetic factors. Low-grade dysplasia is not always detected at birth or during the first year of life.

Mini-invasive periacetabular osteotomy requires a highly specialized and coordinated medical and nursing team. We can see in the image Dr. Luis Ramírez placing the screws while Dr. Ribas maintains the correct redirection of the acetabulum to give normal three-dimensional coverage of the femoral head by the acetabulum. In our experience, there is no limit or residual standard dysplasia that is the same as another. Treatment is individualized patient by patient under a detailed preoperative calculation. We recommend reading on Instagram – Linkedin or on Twitter of “Periacetabular osteotomy step by step” by Dr. Luis Ramírez.

Although the Hip Unit is aimed at young people and young adults with dysplasia, often not noticed during childhood, it occurred in the 2nd, 3rd and 4th decades of life. This work, published in the largest Spanish journal of Orthopedics and Traumatology, represents the first work published on this mini-invasive technique throughout Central Europe and Southern Europe.

To thank our colleague Dr. Luis José Ramírez, specialist and member of the Unit staff, and the fellows we have had in recent years who, with their dedication, have made this work of data collection, angle measurement and analysis possible. statistical.

We could have perfectly published this work in an international magazine, but we believe that we owe it to our country. Disseminate knowledge of this technique in our field. This is how fundamentally Spanish and Spanish-speaking medical colleagues can access such precious and uplifting information.

I thank Dr. Luis José Ramírez for his dedication to the subject, the subject of his Doctoral Thesis, under the baton of the Professor at the University of Barcelona Andreu Combalía and myself (Dr. Manuel Ribas) as his tutor.

New works will appear, already more specific in the line of his Doctoral Thesis, as well as in the field of dysplastic athletes. Recently in the American Journal of Sports Medicine it was reported that 21% of Scandinavian soccer players suffered from hip pain as a result of residual dysplasia, and 46% from borderline dysplasia. In these cases, individual assessment is essential to offer the most appropriate treatment: simple arthroscopic treatment, repair of chondrolabal lesions in borderline dysplasia, arthroscopic treatment associated with mini-invasive periacetabular osteotomy or just mini-invasive periacetabular osteotomy.

For now, the Dexeus University Hospital is the only one in the South of Europ, which has carried out, since 2007, periacetabular osteotomy using a mini-invasive technique.

As we have already announced through our Twitter account, the reviewers and the scientific editorial confirm their next publication in the Spanish journal of Orthopedics and Traumatology.

This is the description of the periacetabular Ganz mini-invasive technique by Søballe mini-approach (JBJS Am 2008) with the technical variants developed by the Hip Unit itself and its results in the medium term, in a significant number of cases ( 131), which today have exceeded five hundred. It is the greatest experience in this technique in all of southern Europe.

The first signatory, developer and lead author is Dr. Ramírez-Núñez, helped by Dr. Ribas, who is carrying out a line of work and publications on this subject, which will soon bear fruit. From here, our most sincere thanks to the fellows who, during these years, have made possible, with their collaboration, such a great database.

Remember also that Dr. Ribas learned periacetabular osteotomy from the hands of Dr. Robert Trousdale in 2003 during his stay at the Mayo Clinic with Dr. Oliver Marín of Madrid and Dr. Javier Camacho of Mexico City. He started it in September 2003 and in his mini-invasive variant in 2007, after his stay in Denmark with Professor Söballe (one year before its publication in the JBJS Am 2008).

This year 2019 the city of Amsterdam has been the leader of the most important theoretical and practical pelvic course at European level, the seventh edition of the European Pelvic Course.

Dr. Manel Ribas and Dr. Luis Ramírez-Núñez from ICATME attended this training course held on April 4 and 6, where they had the opportunity to expand their knowledge and develop pioneering approaches at a practical level such as the “Para-recto” and the “Anterior Intra Pelvico approach”, both considered as less invasive pelvic surgery.They also had the opportunity to try out new implants and specific instruments dedicated to the pelvis.

Dr. Ramírez-Núñez, from the Hip Unit, presents his work “Return to sport and tolerance to post-periacetabular osteotomy activity” at the 20th Congress of the Spanish Society of Hip Surgery in oral communication format, held in Sitges on the last 20th of June.

At the same time, at the 19th EFORT Congres (European Federation of National Associations of Orthopedics and Traumatoloy) held in Barcelona at the end of this month o May